Coordination of Benefits: The Secret Sauce for Scaling Dental Revenue

June 09, 2025
Topics: Dental
Written by: Lisa Rasmussen

How Smart Practice Owners Are Ditching PPOs and Adding $500K+ in Recurring Revenue

Join our exclusive course and discover the proven strategies that practices use to add $10,000+ in monthly recurring revenue with patient membership plans. Dr. Evans took this course and now has over 800 members and $37,000/mo of predictable recurring revenue. Watch this webinar before we take it down in 24 hours.

This course normally sells for $297.

But right now, I’m giving you access for just $47.

That’s cheaper than a hygiene cleaning.

And it could be the most profitable $47 you ever spend.

Get the Course Here → The Six-Figure Membership Plan Course

What You Will Learn:

- How to Build a Membership Plan That Pays You Monthly (Even While You Sleep!)

- Why PPOs Are Stealing Your Revenue—And How to Take Control of Your Profits

- The 3-Step System to Scale Recurring Revenue
(Even If You’ve Never Sold a Membership Plan Before!)

- The #1 Mistake Dentists Make When Dropping PPOs (And How to Avoid It!)

LIVE Case Study: How One Dentist Went from PPO-Dependent to $500K+/Year in Recurring Revenue With a Membership Program!

In dentistry today, PPOs are not your friend, they hurt your cash flow, demolish your profit margins, jeopardize your patient relationships & use A.I. to deny claims!!

If I had an employee or partner that messed up my business like that, I would FIRE them ASAP! 

$47. No fluff. Just results.

You in?

“Insurance Is Rigged… But Your Revenue Doesn’t Have to Be!”

Have you ever felt like dealing with insurance companies is like playing poker with someone who has all the aces up their sleeve? That’s where coordination of benefits (COB) usually throws a wrench in your treatment plans and chokes your revenue. But guess what? You can sidestep all that red tape and skyrocket your monthly recurring revenue (MRR) without becoming a dental Robin Hood.

Coordination of benefits. Let’s dig into how modern practices are turning coordination of benefits from a headache into a growth strategy using BoomCloud™.


Story: “The $89,000 Monthly Membership Machine”

Meet Dr. Jay, a Utah-based dentist who was tired of the COB tango. His front desk was buried in EOBs (explanation of benefits) that made less sense than a TikTok trend. Every claim bounced between two insurances like a hot potato .

One day, Jay stumbled upon BoomCloud™ — a platform that lets practices create their own in-house membership plans. Within 6 months, his plan had over 1,300 active members. His ARR (annual recurring revenue)? $1.06 MILLION.

By skipping COB altogether, he gave patients direct access to care, and got paid on time, every time. #NoMoreMiddlemen


“Build MRR Like Netflix, Not a Nineties Dentist”

Here’s the kicker: membership plan patients spend 2X–4X more than insurance-based patients. They feel loyal, empowered, and they come back. Why? Because it’s THEIR plan. Not Blue Cross. Not Delta. Theirs.

BoomCloud™ lets you:

  • Ditch insurance companies altogether

  • Automate billing and renewals (like a boss)

  • Track MRR and ARR in real-time

  • Launch custom membership plans in minutes ⏱️

Create Your BoomCloud™ Account For FREE


“You Don’t Need Coordination of Benefits If You Control the Plan”

Let’s be real. Coordination of benefits is a bureaucratic spiderweb designed to make practices sweat. But what if you created your own “benefit coordination” through a membership model?

Imagine this:

  • A family of four signs up for your plan at $30/month each

  • They get cleanings, exams, and discounts baked in

  • You collect $1,440 a year BEFORE treatment even begins

  • You upsell $3,000 in cosmetic procedures that aren’t discounted

BOOM. That’s revenue optimization done right. No pre-auths. No COB delays. No nonsense.


Why Coordination of Benefits Is Holding You Back (And What To Do About It)

Insurance COB rules are designed to prevent “overpaying” on claims. But here’s what that really means:

You bill two insurances.
They each pay only a fraction.
You wait 30+ days.
Your patient is confused.
You lose revenue.

Meanwhile, practices with in-house membership plans say: “Forget all that. We get paid monthly, and patients LOVE us.”

According to the ADA, practices that move to direct care models retain more patients and increase treatment acceptance by 30%–60%.


Let’s Talk Numbers: MRR, ARR & Patient Lifetime Value

Want to grow? Then track like a SaaS company.

Metric Traditional Insurance BoomCloud Membership
Avg. MRR/patient $0–$5 (if lucky) $25–$45
Avg. ARR/patient ~$60–$200 $300–$600+
Patient LTV $800–$1,500 $2,400–$5,000
Time to Payment 30–90 days Instantly! ⏱️

Need help calculating yours?
Schedule a Demo of BoomCloud™


Real-Life BoomCloud™ Case Study: Freedom Dental

Freedom Dental was struggling with insurance write-offs that ate up 32% of their gross production. Within 8 months of launching a BoomCloud™ membership plan:

  • 400+ new members signed up

  • 92% recurring monthly renewal rate

  • 3.5X increase in per-patient spend

  • Over $160,000 in new annual revenue

They turned coordination of benefits confusion into a recurring revenue engine. That’s how you scale in this new economy.


Here’s What You Get When You Dump COB and Go BoomCloud™

Full Patient Ownership — No insurance middlemen
Predictable Cash Flow — You KNOW what’s coming in
Automated Billing — Bye-bye, manual spreadsheets
Pre-Built Templates — Launch in a few clicks
Patient Portal Access — Keep them engaged and loyal

Ready to build your own “insurance company”?
Download the Million-Dollar Membership Plan eBook


Coordination of Benefits in Membership Models

Here’s the kicker: when you create an internal membership plan, you become the primary and only payer. That’s right. No “secondary insurance,” no “we’ll coordinate the benefits,” no “patient portion pending.”

You provide the plan, deliver the care, and get paid automatically. That’s as coordinated as it gets, folks! ✅

Plus, with BoomCloud™, you can customize tiers, include discounts, and upsell specialty services without any third-party approval.


Why Patients Prefer Membership Plans Over Insurance

‍‍‍ They understand what they’re paying for
No surprise bills or “not covered” codes
They visit more frequently
They feel more loyal and emotionally invested
They keep their appointments

It’s no wonder BoomCloud™ members spend up to 4X more than traditional patients. It’s value-based care in its purest form.


FAQs

What is coordination of benefits in dentistry?
It’s the process of determining which insurance plan pays first when a patient has multiple policies. Sounds helpful? Nope. It’s a billing nightmare.

How do membership plans eliminate COB?
Because there’s no insurance involved! The practice collects directly from the patient. Simple, fast, clean.

Do membership patients really spend more?
Yes — 2X–4X more on average. They’re more likely to accept treatment and come in regularly.

Is BoomCloud™ only for large practices?
No way! Whether you have one chair or twenty, BoomCloud™ helps you scale MRR like a champ.

Can I track MRR and ARR in BoomCloud™?
Absolutely. Real-time dashboards let you make decisions based on actual data, not hope.

What makes BoomCloud™ different?
It was built by a dental practice for dental practices. That means everything—from UX to compliance—is designed for YOU.


Conclusion: Coordination of Benefits Is Dead. Long Live Membership Plans! ➡️

Coordination of benefits is a relic of the insurance age. But you’re not building an old-school practice—you’re building a growth engine .

So drop the insurance chaos. Stop chasing claims. Start building revenue you control.

Join the thousands of practices that trust BoomCloud™ to eliminate COB and turn patients into paying subscribers.

Take the Six-Figure Patient Membership Plan Course


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vision-membership-plan-ebook Creating a patient membership plan is the smartest strategy to implement in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & increase sales!

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Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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